TERRY M. KELLY DMD PA
NPI 1972640563
Dentist - Prosthodontics in Tampa, FL

Q: What is Terry M. Kelly Dmd PA's NPI number?

The NPI number for Terry M. Kelly Dmd PA is 1972640563. It was assigned to this organization in the NPPES registry on January 31, 2007.

Q: What is Terry M. Kelly Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since January 31, 2007

12902 MAGNOLIA DRIVE, HEAD AND NECK CLINIC, TAMPA, FL 33612(813) 979-3968(813) 745-7464 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Terry M. Kelly Dmd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRY M. KELLY DMD PA (NPI 1972640563) is a healthcare organization registered as a prosthodontics in Tampa, Florida and active in the NPI registry since January 2007. The organization lists Terry Michael Kelly, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1972640563

Entity TypeOrganization

Primary Taxonomy1223P0700X

Legal Business NameTERRY M. KELLY DMD PA

Location Address12902 MAGNOLIA DRIVE, HEAD AND NECK CLINICTampa, FL 33612

Mailing Address701 S Howard Ave Ste 106-307Tampa, FL 33606-2473 · (813) 745-3968 · Fax (813) 745-7464

Phone(813) 979-3968

Fax(813) 745-7464

Organization SubpartNo

Authorized OfficialTerry Michael KellyOwner Dentist · (813) 745-3968

Enumeration DateJanuary 31, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1972640563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in FL · DN11407

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

12902 MAGNOLIA DRIVE, Tampa, FL 33612

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY COLEEN PINDER-SCHENCK M.D.

Internal Medicine (Medical Oncology)

12902 MAGNOLIA DRIVE
TAMPA, FL 33612

Hillsborough County (813) 745-2826

MICHAEL DAVID NEWTON PHARMD

Pharmacist (Oncology)

12902 MAGNOLIA DRIVE
TAMPA, FL 33612

Hillsborough County (813) 745-6577

DR. JOHN MULLINAX M.D.

Surgery

12902 MAGNOLIA DRIVE
TAMPA, FL 33612

Hillsborough County (813) 745-8206

DR. SALVATORE MICHAEL BOTTIGLIERI PHARM.D.

Pharmacist

12902 MAGNOLIA DRIVE, MOFFITT CANCER CENTER DEPT OF PHARMACY
TAMPA, FL 33612

Hillsborough County (914) 403-0226

DR. DANIEL JOHN MELZER PHARMD

Pharmacist (Oncology)

12902 MAGNOLIA DRIVE
TAMPA, FL 33612

Hillsborough County (813) 745-7695

KAREN M FANCHER PHARMD

Pharmacist (Oncology)

12902 MAGNOLIA DRIVE, MOFFITT CANCER CENTER, PHARMACY DEPT
TAMPA, FL 33612

Hillsborough County (813) 745-4640

ABDUL RASHID SHAH MD

Internal Medicine (Hematology & Oncology)

12902 MAGNOLIA DRIVE, H.LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE
TAMPA, FL 33612

Hillsborough County (813) 745-8634

MS. NICOLE CARSWELL MS, RD, LD/N

Dietitian, Registered

12902 MAGNOLIA DRIVE, MOD-C NUTHER
TAMPA, FL 33612

Hillsborough County (813) 745-1078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terry M. Kelly Dmd PA's NPI number?

The NPI number for Terry M. Kelly Dmd PA is 1972640563. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Terry M. Kelly Dmd PA located?

Terry M. Kelly Dmd PA is located at 12902 Magnolia Drive Head And Neck Clinic, Tampa, FL 33612. The listed phone number is (813) 979-3968.

What is Terry M. Kelly Dmd PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Terry M. Kelly Dmd PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.